Active NPI
Adnan Mallick MD PA
- Family Medicine Physician
- Sugar Land, TX
National Provider Identifier
1891544425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADNAN MALLICK MD PA
- Practice address
- 18802 University Blvd Ste 117
Sugar Land, TX 77479-6849 - Phone
- (281) 201-6282
- Fax
- (832) 699-3377
- NPI assigned
- May 15, 2024
- Last updated
- May 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adnan M Mallick, MD
- Title
- President/Physician
- Phone
- (305) 793-6276
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | NU |
Addresses
Primary practice location
18802 University Blvd Ste 117
Sugar Land, TX 77479-6849
Mailing address
8607 Prairie Manor Dr
Richmond, TX 77406-1995
National Provider Directory
National Provider DirectoryLocations
18802 University Blvd
Ste 117
Sugar Land, TX 77479
Phone (281) 201-6282
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1891544425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8607 PRAIRIE MANOR DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774061995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18802 UNIVERSITY BLVD STE 117",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774796849",
"telephone_number": "281-201-6282",
"fax_number": "832-699-3377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADNAN MALLICK MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "MALLICK",
"authorized_official_first_name": "ADNAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "305-793-6276",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.